Living with a chronic anal fissure can be physically uncomfortable and emotionally exhausting. Many people ignore the early signs, expecting the discomfort to settle naturally. When the issue becomes long-standing, daily activities may be affected. Timely evaluation by a qualified specialist is essential. At Gutcare Clinics in Bangalore, Dr. Yuvrajsingh Gehlot provides comprehensive assessment and advanced treatment options for persistent fissure concerns.
This guide explains what a chronic fissure is, how it develops, common symptoms, and when surgery becomes the right choice.
“ Seek expert treatment now to relieve long-lasting fissure discomfort “
What Is a Chronic Anal Fissure?
A chronic anal fissure is a tear in the anal lining that does not heal within six weeks. Unlike recent tears that resolve quickly, chronic fissures tend to recur and require structured care. At Gutcare Clinics, patients undergo a complete evaluation to understand the stage of the fissure and factors delaying healing.
How Does a Fissure Become Chronic?
A fissure often becomes chronic due to repeated irritation and delayed healing. Common contributing factors include:
- Long-term constipation
- Passing hard stools
- Frequent straining
- Reduced blood flow to the region
- Tight muscles
- Previous episodes
Ignoring early symptoms may turn a simple tear into a chronic issue that requires advanced care.
Symptoms You Should Not Ignore
Common signs of a chronic anal fissure include:
- Pain while passing stool
- Burning sensation afterward
- Mild bleeding on tissue
- Difficulty sitting comfortably
- Recurring discomfort despite home remedies
If these symptoms continue for several weeks, evaluation by a specialist is recommended.
Difference Between Acute and Chronic Fissures
Acute Fissure
- Recent tear
- Often caused by temporary strain
- Usually heals within weeks
- Mild discomfort
Chronic Fissure
- Present for over six weeks
- May show skin changes
- Persistent pain and mild bleeding
- Frequently returns after temporary relief
Chronic fissures require a more structured and planned approach.
Non-Surgical Treatment Options for Chronic Anal Fissures
At Gutcare Clinics, initial management focuses on reducing discomfort and supporting natural healing. These include:
1. Diet and Lifestyle Changes
- Increase fiber intake
- Drink enough water
- Avoid straining
- Stay physically active
2. Topical Medications
Certain prescribed creams may help relax the area and encourage better blood flow.
3. Warm Water Soaks
Helps ease irritation and relax surrounding muscles.
4. Stool Softening Support
Helps reduce pressure during bowel movements and prevents further injury.
If these measures do not provide relief, advanced options may be required.
What Causes Chronic Anal Fissures?
Chronic anal fissures develop when a small tear in the anal lining does not heal properly over time. The most common causes include repeated irritation and increased muscle tightness around the area. Factors such as long-standing constipation, passing hard stools, and frequent straining during bowel movements put continuous pressure on the region, preventing natural healing. Reduced blood flow and recurring episodes of irritation also contribute to the fissure becoming long-lasting. In some cases, delayed treatment of an initial tear can allow it to progress into a chronic condition that requires structured medical care.
When Is Surgery Recommended for a Chronic Anal Fissure?
Surgery is considered when:
- Pain continues despite medication
- Symptoms keep recurring
- Visible skin changes or long-standing tears are present
- Daily routine is affected
- Muscle relaxation does not occur naturally
- Recovery is slow despite consistent home care
Dr. Yuvrajsingh Gehlot ensures non-surgical options are explored before recommending a procedure.
Types of Surgery for Chronic Anal Fissure
1. Lateral Sphincterotomy
A highly effective procedure where tight muscles are eased to allow healing.
2. Advanced Fissure Repair
Reconstruction may be suggested in cases where improved long-term healing is needed.
3. Minimally Invasive Laser Procedures
Laser therapy available at Gutcare Clinics helps reduce discomfort and improve recovery time.
Treatment selection depends on symptoms, duration, and patient history.
Recovery After Anal Fissure Surgery:
Most patients experience quick relief after the procedure. Recovery typically includes:
- Gradual return to regular activities
- Better comfort during bowel movements
- Shorter healing time
- Improved daily comfort
Follow-up care ensures long-term healing and prevention of future episodes.
Conclusion
A chronic fissure can affect routine comfort and confidence. When managed early by a qualified doctor, long-term issues can be prevented. Gutcare Clinics offers advanced treatment options, and expert care from Dr. Yuvrajsingh Gehlot ensures patients receive clear guidance and lasting relief. If your symptoms continue, seek timely evaluation to achieve better comfort and quicker recovery.
Frequently Asked Questions
1. What is the main cause of a Chronic Anal Fissure?
The most common cause is long-term constipation and straining, which leads to repeated tearing. Getting early care at a trusted center helps prevent the issue from worsening.
2. How do I know if my fissure has become chronic?
If symptoms last longer than six weeks, recur often, or cause ongoing discomfort, it may indicate a Chronic Anal Fissure requiring specialist evaluation.
3. Can Chronic Anal Fissure heal without surgery?
Yes, many patients heal with lifestyle changes, medicines, and professional care. Surgery is recommended only when these methods do not give relief.
4. When should I visit Gutcare Clinics for fissure treatment?
Visit Gutcare Clinics if your symptoms persist, return frequently, or impact your daily comfort. Early diagnosis improves treatment outcomes.
5. Is surgery safe for treating a Chronic Anal Fissure?
Yes, when performed by an experienced colorectal surgeon, surgery is safe and effective. Most patients recover quickly with long-lasting relief.
